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首页> 外文期刊>International Journal of Environmental Research and Public Health >Does Health Literacy of Hemodialyzed Patients Predict the Type of Their Vascular Access? A Cross-Sectional Study on Slovak Hemodialyzed Population
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Does Health Literacy of Hemodialyzed Patients Predict the Type of Their Vascular Access? A Cross-Sectional Study on Slovak Hemodialyzed Population

机译：血液透析患者的健康识字性是否预测了血管接入的类型？斯洛伐克血液透析人群的横截面研究

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摘要

Effective vascular access (VA) is an essential condition for providing hemodialysis, affecting patients’ health outcomes. We aim to explore how health literacy (HL) as a non-clinical factor is associated with the decision-making process regarding VA type selection. Using data from 20 dialysis centers across Slovakia ( n = 542, mean age = 63.6, males = 60.7%), the association of HL with type of VA (arteriovenous fistula (AVF) vs. central venous catheter (CVC)) was analyzed using a logistic regression model adjusted for sociodemographic characteristics and comorbidity. Sociodemographic data and data on nine domains of HL were collected by questionnaire. Data on VA and comorbidity were obtained from a medical records. Patients with a greater ability to engage with healthcare providers (odds ratio (OR): 1.34; 95% confidence interval (CI): 1.00–1.78), those with a better ability to navigate the healthcare system (OR: 1.41; 95% CI: 1.08–1.85), those more able to find good health information (OR: 1.52; 95% CI: 1.15–2.03), and those who understand it well enough to know what to do (OR: 1.52; 95% CI: 1.12–2.06) are more likely to have AVF. Patients’ HL is associated with the type of VA; therefore, it should be considered in the decision-making process regarding the selection of the type of VA, thereby informing strategies for improving patients’ HL and doctor–patient communication.
机译：有效的血管进入（VA）是提供血液透析的重要条件，影响患者的健康结果。我们的目标是探讨卫生识字（HL）如何与非临床因素有关的关于VA型选择的决策过程。使用来自斯洛伐克的20个透析中心的数据（n = 542，平均年龄= 63.6，男性= 60.7％），使用HL与VA的类型（动静脉瘘（AVF）与中央静脉导管（CVC））的关联。调整对社会渗透特性和合并症的逻辑回归模型。调查问卷收集HL的九个领域的社会渗目数据和数据。从病历中获得VA和合并症的数据。患者与医疗保健提供者互动的能力（OTDS比率（或）：1.34; 95％置信区间（CI）：1.00-1.78），具有更好地浏览医疗保健系统的能力（或：1.41; 95％CI） ：1.08-1.85），那些更能够找到良好的健康信息（或：1.52; 95％CI：1.15-2.03），以及那些了解它的人，以了解该做什么（或：1.52; 95％CI：1.12 -2.06）更有可能有AVF。患者的HL与VA的类型有关;因此，应该考虑关于选择VA的类型的决策过程，从而了解改善患者HL和医患沟通的策略。

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